Consultation, inspection and eradication of Helicobacter pylori

• A:There are many people who have the results of the company’s medical examination. A common report is positive serum Helicobacter pylori antibody. Gastroduodenal fiber (gastrocamera: nasal in our hospital) if you bring it. This procedure is medical insurance. In general, if there is no gastric cancer or if gastritis is found, it will be indicated for eradication, and the necessity (if not eradicated: risk of gastric cancer, gastric ulcer, duodenal ulcer) will be explained. Then, prescribe it internally and treat the bacteria. After that, you must evaluate it by inspection, mainly because the sterilization success rate is about 80% and not 100 %.
• B:If you have any symptoms, gastroduodenal fibers, and evidence of Helicobacter infection, then a Helicobacter test is required.
• C:Only the tests such as urea breath test and Helicobacter pylori antibody (blood, urine) without gastroduodenal fiber are not covered by insurance and are free medical treatment. With our urine Helicobacter antibody, results will be obtained within 20 minutes. ¥8500

  Helicobacter practice is a new field and treatment for chronic gastritis started in 2013 last year in　Japan, the first in the world. It may be difficult to understand the medical treatment contents and procedures, so we recommend that you visit a Helicobacter Infectious Diseases Certified Doctor.

  ＊2014 years 11 May 1 than days, of our hospital director is ordered and Helicobacter infection certified physician. 2017 years 2 has been attending the training seminar of May Society.

  ★ A number of endoscopic cases at this hospital :

  Insertion method: Most of them are airless, shaft holding methods. In observation, carbon dioxide was used.

Colonoscopy

Gastroduodenal endoscope

A colonoscopy has achieved almost no pain according to a questionnaire. Although carbon dioxide is used for air supply and observation is performed, when inserting, almost all cases are performed without air supply and the shaft holding method.

Questionnaire survey (123 cases of 8 months, 2018) . I don’t mind- Slight pain : 80.5 %, Comfort : 19 %, Pain : 0.8 % , Very painful 0%.

In case of difficult insertion, we can introduce the National Cancer Center Central Hospital-Professor Kadokawa Endoscopy Center where capsule endoscopy is possible on the day when the laxative was taken.

IBD (Inflamatory Bowel Disease) Director: incurable diseases specified doctor

Ulcerative colitis: We are treating Ulcerative colitis (UC) and Crohn’s disease (CD). It is recommended that people who have one of the increasing diseases and do not need mild to moderate hospitalization under the guidance of a specialist should be treated at a clinic. Along with that, I have experience working at a large intestine anus hospital, but at this hospital, I still attend seminars and academic meetings frequently to obtain information. For example, we introduce new drugs such as Pentasa suppositories, Asacol, Rialda, etc. However, these are decided only after careful consultation in consideration of the social background of the patient (core hospital From experience that could not spend enough time for such a consultation).

Gastroduodenal Fiber: A transnasal endoscope with a fiber thickness of 5.4 mm that allows you to speak during the test. In most cases, sedation is used, but sedation is not recommended for people who have an interview or work schedule after that.

FD : Functional Dyspepsia

If you have symptoms such as chronic gastric pain, stomach upset, etc., and the cause is an abnormal gastroduodenal motor function, hypersensitivity to fat and gastric acid, and stress, inheritance, and gastrointestinal hormones. I think there are many. Prior to this treatment, it is premised that there are no gastric ulcers or gastric cancer with gastroduodenal fibers and no Helicobacter pylori infection. The treatment was approved in 2013 for acofide as an internal drug. Although it does not work in all cases, we are seeing many people in our hospital who have improved their quality of life.

Fecal occult blood test

Generally, it is performed as a colon cancer screening, but at our hospital, the result can be obtained within minutes after obtaining the sample.

＊Rectal examination: A finger examination is the most important examination for rectal cancer.

Scrutiny of bloody stool: anoscope ⇒ rectoscope ⇒ sigmoid colon fiber, we will consult and proceed until the diagnosis is clear. A rectoscope and a sigmoid fiber are possible only with an enema as a pretreatment.